Individual provider · Type 1 NPI

Caroline Maggard Goettke

Student in an Organized Health Care Education/Training Program · Alexandria, VA

NPI number 1235084807 Active

Practice location

400 Fannon St Fl 3
Alexandria, VA 22301-1569

Call (571) 472-7040 Map

Mailing address

2704 Sycamore St
Alexandria, VA 22305-1808

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235084807

Caroline Maggard Goettke's National Provider Identifier is 1235084807, issued on Feb 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Alexandria, VA. The record was last updated on Nov 1, 2026.